Lyceum Bullets: DKA

Questions Addressed:

  • When you are suspicious for DKA do you obtain a VBG or an ABG? How good is a VBG for determining acid/base status?
  • Do you use serum or urine ketones to guide your diagnosis and treatment of DKA?
  • Do you use IV bicarbonate administration for the treatment of severe acidosis in DKA? If so, when?
  • When do you start an insulin infusion in patients with hypokalemia? Do you give a bolus followed by a drip?

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